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NPI Code Detail

MEDICARE: COUNSELING SERVICES OF EASTERN ARKANSAS

MEDICARE: COUNSELING SERVICES OF EASTERN ARKANSAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811140338
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNSELING SERVICES OF EASTERN ARKANSAS
Provider Business Mailing Address
First Line : 2707 BROWNS LN
Second Line :
City : JONESBORO
State : AR
Zip : 72401-7213
Country : US
Telephone Number : 870-972-4939
Fax Number : 870-972-4911
Provider Business Practice Location Address
First Line : 613 RIGHTOR ST
Second Line :
City : HELENA
State : AR
Zip : 72342-3223
Country : US
Telephone Number : 870-338-3363
Fax Number : 870-338-3354
Authorized Official
Title or Position : PROVIDER CREDENTIALING
Name : DONNIE LYERLY
Credential :
Telephone Number : 870-972-4939
Provider Enumeration Date : 10/28/2008
Last Update Date : 09/18/2009

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Directions to “COUNSELING SERVICES OF EASTERN ARKANSAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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